DR. GARY WOLK DOCKS (NPI# 1558370197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558370197 |
| Entity Type | Individual |
| Full Name | DR. GARY WOLK DOCKS |
| Credential | D.P.M. |
| Practice Address |
18810 Beverly Rd Beverly Hills MI 48025-4014 |
| Mailing Address |
18161 W 13 Mile Rd D-2 Southfield MI 48076-1113 |
| Practice Telephone | 2486465209 |
| Practice Fax Number | 2482036927 |
| Mailing Telephone | 2482580001 |
| Mailing Fax Number | 2482586779 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2009-10-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
000785 | MI | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4848024 | 05 |
| Street Address |
18810 BEVERLY RD |
| City | BEVERLY HILLS |
| State | MI |
| Zip Code | 48025-4014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093991671 | Gary W Docks Dpm Pllc | Podiatrist | 18810 Beverly Rd, Beverly Hills, MI 48025-4014 | 2008-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571413 | Cole Nicolas Gomez | Technician/Technologist | 32199 Telegraph Rd, Bingham Farms, MI 48025 | 2020-09-08 |
| 1346859212 | Jordyn Jones | Technician/Technologist | 32199 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2020-07-27 |
| 1013492644 | Shaniya Hyman | Technician/Technologist | 32100 Telegraph Rd Suit 205, Bingham Farms, MI 48025 | 2018-09-28 |
| 1043799042 | Assisted Home Health | Hospice Care, Community Based | 20150 Plantation Ln, Beverly Hills, MI 48025 | 2018-08-09 |
| 1235618224 | Robert Dean Harley | Technician/Technologist | 31200 Telegraph Rd Ste 205, Bingham Farms, MI 48025 | 2018-08-09 |
| 1760973911 | Tailormed Medical Inc | Case Management | 30100 Telegraph Road, Suite 403, Bringham Farms, MI 48025 | 2018-05-23 |
| 1245745447 | Supportive Home Health Care LLC | Home Health | 30100 Telegraph Rd Ste 478, Bingham Farms, MI 48025 | 2017-12-11 |
| 1265954192 | Breeona Rue | Technician/Technologist | 32100 Telegraph Rd Suite 205, Bingham Farms, MI 48025 | 2017-07-12 |
| 1417478132 | Gina Maria Bignotti | Behavior Technician | 32100 Telegraph, Bingham Farms, MI 48025 | 2017-07-03 |
| 1295256238 | Chanel Matti | Behavior Technician | 32100 Telegraph Rd Suite 185, Bingham Farms, MI 48025 | 2017-06-29 |
| Find all providers in zip 48025 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427579002 | Neal Kaushik Patel | Podiatrist | 250 N Robertson Blvd Ste 104, Beverly Hills, CA 90211-1767 | 2017-07-04 |
| 1366849416 | Monique Kym Luxenburg | Podiatrist | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2014-12-04 |
| 1750798435 | Tamer Younan | Podiatrist | 200 N Robertson Blvd Ste 205, Beverly Hills, CA 90211-6002 | 2014-07-15 |
| 1326462110 | Beverly Hills Podiatry, Inc | Podiatrist | 416 N Bedford Dr Ste 307, Beverly Hills, CA 90210-4309 | 2014-02-13 |
| 1164515730 | Stanley Orwasher | Podiatrist | 435 N. Roxbury Drive, Beverly Hills, CA 90210-5027 | 2006-10-02 |
| 1114964970 | Myron Louis Hall | Podiatrist | 9301 Wilshire Blvd Ste 602, Beverly Hills, CA 90210-6161 | 2006-06-01 |
| 1922057173 | Bobby Pourziaee | Podiatrist | 421 N Rodeo Dr, G-12, Beverly Hills, CA 90210-4500 | 2006-05-08 |
| 1699740290 | Dale Marc Kaplan | Podiatrist | 882 W Sunset Strip Dr, Beverly Hills, FL 34465-8745 | 2006-02-17 |
| 1912373952 | David A. Pougatsch, Dpm, Inc. | Podiatrist | 250 N Robertson Blvd Ste 106, Beverly Hills, CA 90211-1767 | 2015-08-13 |
| 1699155911 | Prema Srinivasa Hampapur | Podiatrist | 250 N Robertson Blvd Ste 106a, Beverly Hills, CA 90211-1767 | 2015-06-02 |
| Find all providers in BEVERLY HILLS | ||||
| City | BEVERLY HILLS |
| Zip Code | 48025 |
Please comment or provide details below to improve the information on DR. GARY WOLK DOCKS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.